Which statement by the patient discharge on warfarin (Coumadin) indicates the need for further teaching?

A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following optionsshould the nurse identify as the P wave in the ECG complex? 

A nurse is caring for a patient diagnosed with atrial fibrillation. The patient’s heart rate is 100 beats per minute, and the ECG shows an irregularly irregular rhythm. Which of the following is a priority nursing intervention?

A patient is recovering from a cardiac catheterization that was performed via the right groin. Which assessment requires the nurse to notify the healthcare provider immediately?

An older adult patient enters the emergency department with a report of fever, cough and dyspnea.  Initial assessment reveals temperature 101.5 degreed ferenheight, BP 105/70, HR 105, RR 28, and SaO2 of 86% on room air.  Which actions will the nurse implement first?

The nurse is providing education for a patient that is diagnosed with severe obstructive sleep apnea.  Which will the nurse include in the teaching?  (Select all that apply.)

A 68 year old woman states that she does not want a flu shot this September, because “I hate getting shots and besides, I just had a flu shot last December.”  What is the nurse’s best response?”

The nurse assesses the Tuberculin skin test (TST) site of a patient with HIV, 50 hours after the injection was placed.  There is an area of induration measuring 8 millimeters at the site.  What is the best nursing action?

The nurse is caring for a patient who is taking fluticasone.  Assessment reveals excoriated lesions with white exudate on the tongue and buccal mucosa.  What is the nurse’s best action?

Which will the nurse include in teaching a patient with newly diagnoses active pulmonary tuberculosis (TB) infection?